शैडोइंग अभ्यास: TIẾNG ANH GIAO TIẾP TRONG BỆNH VIỆN | Hỏi bệnh và khám thực thể - Đau bụng | Tiếng Anh Y Dược GGC - YouTube के साथ अंग्रेजी बोलना सीखें

B1
Dr. Hello, Mrs. Hansen.
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201 वाक्य
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1
Dr. Hello, Mrs. Hansen.
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I'm Dr. Hudson.
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Hello.
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I understand you're having some pain.
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Oh, yes.
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I have stomach pain.
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Yes.
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When did it start?
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Last night.
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Last night.
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About what time?
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Nine.
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Nine.
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Where was it when it first started?
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It was kind of generalized.
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All around?
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Okay.
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Did it change at all?
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Yeah.
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Where.. how did it change?
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No, this morning when I woke up it was more central and now it's more over here.
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On the right side.
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What kind of pain is it?
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It's really.. it's right there and it's constant.
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It's constant.
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Is it like a grabbing pain,
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a stabbing pain, a dull ache?
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A dull ache.
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A dull ache.
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Is it going around the back at all?
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No. Down in the groin area?
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No. It's just right there now.
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Yeah.
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But it started more generalized.
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Yeah.
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On a scale of one to ten,
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last night, how bad was the pain?
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I would say a two.
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A two.
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And now, what would you say?
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A seven.
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A seven.
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Okay.
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When it first started, were you doing anything in particular?
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Did you lift something heavy?
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No, I was just...
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Did you twist?
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Was there any trauma?
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I was just looking at the TV.
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Okay.
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Right.
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Through the night, did it wake you up?
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No, I slept.
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You were able to sleep?
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Okay.
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Do you feel nauseated?
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This morning, yeah.
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This morning.
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Did you throw up?
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Yeah, an hour ago.
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An hour ago.
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How's your appetite?
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Do you feel hungry?
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Do you want to eat?
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Oh, no. You don't, okay.
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Did you have any fever?
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I did not take it,
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but now I feel kind of feverish.
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You feel a bit fewish.
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Did you have any night sweats last night?
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No. No, chills where you were shaking?
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No, but this morning a few hours of food started, yeah.
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Okay.
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Tell me about your bowel movements.
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When was the last one?
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Yesterday morning.
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Okay, was it normal?
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Yeah.
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Yeah.
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Did you have a period of time in the last week or so where you were either constipated or had diarrhea?
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No. Have you recently noticed any blood in your stools?
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No. Or any black diarrhea stool?
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No. Are you having problems with bladder in terms of burning to urinate,
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having to get up at night to urinate?
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No. Have you seen any blood in your urine?
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No. Okay, tell me about your periods.
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Do you still menstruate?
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No, no, no. It stopped five years ago.
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Five years ago.
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Okay.
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Alright, and you haven't had any spotting, bleeding at all?
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No. And are you sexually active?
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Not for the last six months.
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No new partners then for the six months.
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Okay, all right.
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Have you ever had any problems with this kind of pain before?
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No, no. Similar pain?
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No, this is the first time.
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Tell me about your health.
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Do you have any other medical problems?
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No. High blood pressure, cholesterol problems, heart problems?
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No. Do you take medications?
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just the homeopathic one.
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Okay, which ones are those?
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Prime Rose, I'm sorry.
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I take selenium and I take vitamin C and A and Primrose tablets.
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Primrose tablets, okay.
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Do you take any aspirin at all?
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No. No?
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Any Advil, ibuprofen?
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No. No, okay.
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Do you have allergies to medications?
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No. No?
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Have you ever had surgery before?
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No. No?
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So you don't know if you have any issues regarding general anesthetic?
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No. Problems like that?
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Family history in particular of bleeding tendencies or blood clot problems?
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No. No. Okay.
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Have you ever had kidney infections or bladder infections?
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Never.
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No. All right.
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Okay.
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So I'm going to examine you.
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Okay.
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So if you want to bring your legs down here,
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just bring them gently.
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I know it's going to hurt a little bit.
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Yeah.
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Okay, and now I'm going to just have a look at your abdomen.
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Okay, so we're going to just expose here and I'm going to look to see if your abdomen is distended.
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Do you feel bloated at all with your belly all swollen up?
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No. Okay, so it looks good.
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I don't see any swelling of your abdomen or any bulging anywhere.
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So now I'm going to give little taps.
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Okay, So show me the area where you're sore.
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Here.
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Okay, so we're gonna save that spot for last.
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So I'm just gonna give little punches here.
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That hurts you a bit, eh?
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Okay.
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Now I'm just going to lightly palpate just on the top like that.
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That's all okay.
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How about down here?
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That hurts a bit, okay?
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Okay.
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Now I'm going to go deeper down, okay?
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That's okay there.
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And if I press here,
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do you feel it a bit?
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Where do you feel that when I'm pressing here?
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So you feel it on that side, okay?
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Now I'm going to go deeper here, okay?
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So I do see that your muscles are tensing up when I'm doing that, okay?
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I'm going to do another test where I'm gonna press down and I'm gonna let go, okay?
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So you tell me if it hurts.
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So I'm gonna press down,
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I know it hurts here, I'm gonna let go.
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Okay, that does hurt, eh?
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Now I'm gonna do it on this side too.
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I'm gonna press down.
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Okay, I'm gonna let go.
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That really hurts.
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Okay, sorry about that.
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Now I'm going to listen for your bowel sounds.
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Okay, and I should have done this before palpating you,
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but let me have a listen here.
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Okay, so I'm just going to listen in all four quadrants,
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in all areas of the abdomen.
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Very good.
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So your bowel sounds are okay.
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So we see that the gas is flowing through,
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that there's no blockage there.
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So now I'm going to ask you to lift up your leg,
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and keep it up.
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So let's bring your leg out of the blanket,
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it'll make it easier for you.
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Just bring it up in the air like that and just don't let me push your leg down.
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You tell me if it hurts.
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Oh!
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That does hurt, eh?
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Okay, alright, so let's bring this down.
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Okay, and now I'm just going to be pressing a little bit on your kidneys back here.
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Does that hurt you?
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No. Okay, and how about on this side?
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Does that hurt you?
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And that's good.
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Very good.
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Now, I'm going to want to have a little bit of an examination to look at your tubes and your ovaries.
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what we call a gynecological examination.
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Exam is normal?
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Very good.
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And another thing that we need to do is do a rectal examination.
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That's to put a finger in and feel the area where the...
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That examination is normal as well.
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It is normal.
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Okay, very good. So that concludes...
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I have a question for you.
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What's your diagnosis?
200
Well, my principal diagnosis is appendicitis at this point.
201
you

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लोकप्रिय

इस पाठ के बारे में

इस पाठ का उद्देश्य आपको अस्पताल में संवाद करने की स्थिति में आवश्यक अंग्रेजी भाषा के कौशल को विकसित करना है। आप डॉक्टर और मरीज के बीच की बातचीत का अभ्यास करेंगे, जिसमें दर्द के लक्षण, समय, और दर्द की तीव्रता जैसी जानकारी साझा करने की आवश्यकता होती है। अस्पताल में संवाद आसानी से करने के लिए यह कौशल महत्वपूर्ण है, खासकर जब आपको किसी स्वास्थ्य समस्या का सामना करना पड़ता है।

मुख्य शब्दावली और वाक्यांश

  • stomach pain - पेट में दर्द
  • when did it start? - यह कब शुरू हुआ?
  • constant pain - लगातार दर्द
  • dull ache - धीमी खिंचाव
  • scale of one to ten - एक से दस तक का पैमाना
  • generalized pain - सामान्यीकृत दर्द
  • side pain - साइड का दर्द
  • trauma - चोट

अभ्यास के लिए सुझाव

वीडियो की गति और टोन को ध्यान में रखते हुए, शैडोइंग तकनीक का उपयोग करें। यह आपके उच्चारण और समझ को सुधारने में मदद करेगा। वीडियो को ध्यान से सुनें और डायलॉग को दोहराने का प्रयास करें। जब आप डॉक्टर के प्रश्नों का उत्तर देते हैं, तो आप यूट्यूब से अंग्रेजी सीखें जैसे संसाधनों का उपयोग कर सकते हैं।

प्रत्येक बार जब आप डॉक्टर और मरीज के बीच की बातचीत को सुनते हैं, अंग्रेजी बोलने का अभ्यास करने के लिए एक जगह खोजें जहां आप बिना किसी हिचकिचाहट के शैडोइंग कर सकें।

शैडो स्पीक और अंग्रेजी शैडोइंग का उपयोग करके, आप अपनी सुनने की क्षमता को बढ़ा सकते हैं और अपनी बातचीत की प्रवाहिता में सुधार कर सकते हैं। यह आपकी आत्मविश्वास को भी बढ़ाता है, जिससे आप वास्तविक जीवन में संवाद करने में अधिक सहज महसूस करेंगे।

इन तरीकों का पालन करके, आप अस्पताल में संवाद करने के लिए आवश्यक सभी कौशल विकसित करेंगे। नियमित रूप से अभ्यास करें और अपनी प्रगति को देखकर प्रोत्साहित रहें।

शैडोइंग तकनीक क्या है?

शैडोइंग (Shadowing) एक विज्ञान-समर्थित भाषा सीखने की तकनीक है जो मूल रूप से पेशेवर दुभाषिया प्रशिक्षण के लिए विकसित की गई थी। विधि सरल लेकिन शक्तिशाली है: आप मूल अंग्रेज़ी ऑडियो सुनते हैं और तुरंत इसे ज़ोर से दोहराते हैं — जैसे वक्ता की छाया 1-2 सेकंड की देरी से। शोध से पता चलता है कि यह उच्चारण सटीकता, स्वर, लय, जुड़ी हुई ध्वनियाँ, सुनने की समझ और बोलने की प्रवाहशीलता में काफ़ी सुधार करता है।

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